Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $31.69	Facility		$24.95	$24.95	$31.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $24.95	Professional		$24.95	$24.95	$24.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $27.25 / $8,639.91	Facility		$23.16	$27.25	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $27.88 / $27.88	Professional		$27.88	$27.88	$27.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Facility		$27.68	$27.68	$27.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $24.95 / $42.17	Facility		$24.95	$24.95	$42.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $29.94	Professional		$24.95	$24.95	$29.94
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Facility		$27.68	$27.68	$27.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $27.68 / $27.68	Professional		$27.68	$27.68	$27.68
United Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $36.69	Professional		$29.35	$29.35	$36.69